Heather Bergstrom, LCSW | |
702 Sunset Dr, Ontario, OR 97914-3121 | |
(541) 889-9167 | |
Not Available |
Full Name | Heather Bergstrom |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 34 Years |
Location | 702 Sunset Dr, Ontario, Oregon |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942626171 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | L2002 (Oregon) | Primary |
1041C0700X | Social Worker - Clinical | LCSW-893 (Idaho) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Adams County Health Center Inc | 1557453446 | 8 |
Entity Name | Valley Family Health Care Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407886484 PECOS PAC ID: 0547169591 Enrollment ID: O20040108000205 |
Entity Name | Adams County Health Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710915897 PECOS PAC ID: 1557453446 Enrollment ID: O20070823000265 |
Mailing Address | Practice Location Address |
---|---|
Heather Bergstrom, LCSW 702 Sunset Dr, Ontario, OR 97914-3121 Ph: (541) 889-9167 | Heather Bergstrom, LCSW 702 Sunset Dr, Ontario, OR 97914-3121 Ph: (541) 889-9167 |
Genelle Jo Mackey, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 685 N Oregon St, Ontario, OR 97914 Phone: 541-889-2219 | |
Timothy L Koberlein, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 702 Sunset Dr, Ontario, OR 97914 Phone: 541-889-9167 Fax: 541-889-7873 | |
Sarah Andrade, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 702 Sunset Dr, Ontario, OR 97914 Phone: 541-889-9167 Fax: 541-889-7873 | |
J. Harrison Whitcomb, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 702 Sunset Dr, Ontario, OR 97914 Phone: 541-889-9167 | |
Ron Vanausdal, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 702 Sunset Dr, Ontario, OR 97914 Phone: 541-889-9167 Fax: 541-889-7873 | |
Ms. Janette Lynn Pennington, CSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1219 Sw 4th Ave, Ontario, OR 97914 Phone: 541-889-2668 | |
Mrs. Jessica Carpenter, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 702 Sunset Dr, Ontario, OR 97914 Phone: 541-889-9167 Fax: 541-881-1503 |